What must the nurse researcher ensure to obtain informed consent?

Identifies risks and benefits of participation, Gives complete information about the purpose, Understands how confidentiality is maintained, Allows free choice to participate or withdraw

Which method of data collection will the nurse use to establish a patient’s database?

Performing a physical examination

A nurse wants to become an advanced practice registered nurse. Which options should the nurse consider?

Certified nurse-midwife, Certified nurse practitioner, Clinical nurse specialist

A pt has a low pain level of 2/10 but exhibits extreme facial grimacing while moving around. Whats RN initial action?

Ask the patient about the facial grimacing with movement.

A nurse is reviewing care plans. Which finding, if identified in a plan of care, should the registered nurse revise?

Nurse’s assumptions about hospital discharge

The following statements are on a pt’s RN care plan. Which statement will the RN use as an outcome for a goal of care?

The patient will verbalize a decreased pain level less than 3 on a 0 to 10

Which scenario best illustrates the nurse using data validation when making a nursing clinical decision for a patient?

RN decides to remove wound dressing when the pt tells time of last dressing

Which statement by a RN shows a good understanding about the differences between data validation & data interpretation?

“Validation involves comparing data with other sources for accuracy.”

A nursing diagnosis for a patient with a medical dx of pneumonia with chest x-ray results of lower lobe infiltrates

Impaired gas exchange related to alveolar-capillary membrane changes

A nurse is using the critical thinking skill of evaluation. Which action will the nurse take?

Review the effectiveness of nursing actions.

A RN is developing a care plan for a pt with a pelvic fracture on bed rest. Which goal statement's realistic for the pt?

Patient will increase activity level this shift.

The nurse is preparing to conduct research that will allow precise measurement. Which methods will provide that data?

Surveys, Evaluation research, Nonexperimental research

A nurse has a goal of becoming a certified registered nurse anesthetist (CRNA). Which activity is appropriate?

Works under the guidance of an anesthesiologist

Which action should the nurse take when teaching a 5-year-old patient about a scheduled surgery?

Allow the child to touch and hold medical equipment such as thermometers.

RN is completing an assessment on an older pt who is alert & oriented.The pt’s kid is there.Which action is by chrg RN?

The nurse speaks only to the patient’s daughter.

A nurse has compassion fatigue. What is the nurse experiencing?

Burnout and secondary traumatic stress

A nurse has collected several research findings for evidence-based practice. Which article will be the best to use?

An article that uses randomized controlled trials (RCT)

The nurse is interviewing a patient with a hearing deficit. Which area should the nurse use to conduct this interview?

The patient’s room with the door closed

A nurse is completing an assessment. Which findings will the nurse report as subjective data?

Patient’s expression of fear regarding upcoming surgery, Patient describing excitement about discharge

A chrg nurse is reviewing outcome statements using the SMART appr. Which pt outcome statement will the chrg nurse praise

The pt will feed self at all mealtimes today w/o reports of short breaths

An RN is using critical thinking skills during 1st phase of nursing. Which action indicates the RN is in 1st phase?

Completes a comprehensive database

An RN is gathering info abt a pt's habits & lifestyle patterns. What's the best method of data collection will RN use?

Perform a thorough nursing health history.

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Fundamentals MIDTERM

95 termsStudBud Administration2 plays

Ch 1, 5, 11, 14, 15, 16, 17, 18, 19, 20, 24, 27, 28, 29, 30, 31, 32, 36, 37, 42, 45, 46, 47

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Questions 95

Answers

1
During IMPLEMENTATION, the RN carries out the identified plan
False
True
2
Objective data are observations or measurements of a patient’s health status, like respirations.
False
True
3
What must the nurse researcher ensure to obtain informed consent?
Identifies risks and benefits of participation
Gives complete information about the purpose
Understands how confidentiality is maintained
Allows free choice to participate or withdraw
4
In DIAGNOSIS the RN analyzes the assessment data to determine the diagnoses or issues
True
False
5
The CRNA is an RN with an advanced education in a nurse anesthesia accredited program
True
False
6
Evidence-based care improves quality, safety, patient outcomes, and nurse satisfaction while reducing costs.
True
False
7
Which method of data collection will the nurse use to establish a patient’s database?
Checking orders for diagnostic and laboratory tests
Performing a physical examination
Ordering medications
Reviewing the current literature to determine evidence-based nursing action
8
A nurse wants to become an advanced practice registered nurse. Which options should the nurse consider?
Certified nurse-midwife
Nurse administrator
Certified nurse practitioner
Clinical nurse specialist
9
A pt has a low pain level of 2/10 but exhibits extreme facial grimacing while moving around. Whats RN initial action?
Ask the patient about the facial grimacing with movement.
Administer the pain medication ordered for moderate to severe pain.
Proceed to the next patient’s room to make rounds.
Determine the patient does not want any pain medicine.
10
A nurse is caring for a young adult after surgery. Which action by the nurse will be priority?
Allow involvement of consistent schedule
Allow involvement of partner
Allow involvement of volunteer activities
Allow involvement of peers
11
A nurse with some situational experience, even if it's observational, is considered?
Proficient
Competent
Advanced beginner
Novice
12
While providing care to a patient, the nurse is responsible, both professionally and legally. Which concept is this?
Patient advocacy
Autonomy
Accountability
Patient education
13
A nurse who is able to identify meaningful aspects or principles of nursing care
Competent
Novice
Proficient
Advanced beginner
14
The nurse is gathering data on a patient. Which data will the nurse report as objective data?
States “doesn’t feel good”
Reports a headache
Nauseated
Respirations 16
15
A nurse takes the history of a middle-aged pt. Which info indicates the patient has achieved generativity?
Teaches preschoolers
Cares for aging parents after work
Has no regrets with life choices
Married for 30 years
16
A nurse is reviewing care plans. Which finding, if identified in a plan of care, should the registered nurse revise?
Nurse’s assumptions about hospital discharge
Patient’s outcomes for learning
Identification of several actual health problems
Documentation of patient’s ability to meet the goal
17
Which diagnosis will the nurse document in a patient’s care plan that is NANDA-I approved?
Sore throat
Heart failure
Sleep apnea
Acute pain
18
In which order from the first to the last will the nurse place Erikson's developmental stages?
2, 3, 1, 5, 4
2, 1, 3, 5, 4
2, 5, 3, 1, 4
2, 5, 1, 3, 4
19
The following statements are on a pt’s RN care plan. Which statement will the RN use as an outcome for a goal of care?
The patient will demonstrate increased mobility in 2 days.
The patient will understand needed dietary changes by discharge.
The patient will demonstrate increased tolerance to activity over the next
The patient will verbalize a decreased pain level less than 3 on a 0 to 10
20
Which scenario best illustrates the nurse using data validation when making a nursing clinical decision for a patient?
The nurse elevates a leg cast when the patient reports decreased mobility.
The RN administers pain med due at 1700 at 1600 bc the pt reports more pain
RN decides to remove wound dressing when the pt tells time of last dressing
21
A nurse identifies a clinical problem with pressure ulcers. Which step should be next in the research process?
Analyze results.
Develop a hypothesis.
Conduct the study
Determine method.
22
Which statement by a RN shows a good understanding about the differences between data validation & data interpretation?
“Validation involves looking for patterns in professional standards.”
“Data interpretation occurs before data validation.”
“Validation involves comparing data with other sources for accuracy.”
“Data interpretation involves discovering patterns in professional standard
23
A nursing diagnosis for a patient with a medical dx of pneumonia with chest x-ray results of lower lobe infiltrates
Impaired gas exchange related to alveolar-capillary membrane changes
Ineffective breathing pattern related to pneumonia
Risk for infection related to chest x-ray procedure
Risk for infection related to chest x-ray procedure
24
A nurse is using the critical thinking skill of evaluation. Which action will the nurse take?
Support findings and conclusions.
Examine the meaning of data.
Search for links between the data and the nurse’s assumptions.
Review the effectiveness of nursing actions.
25
A RN is developing a care plan for a pt with a pelvic fracture on bed rest. Which goal statement's realistic for the pt?
Patient will increase activity level this shift.
Pt will use a sliding board correctly to transfer to the bedside commode
Patient will use the walker correctly to ambulate to the bathroom as needed
Patient will turn side to back to side with assistance every 2 hours.
26
The nurse is preparing to conduct research that will allow precise measurement. Which methods will provide that data?
Surveys
Grounded theory
Evaluation research
Nonexperimental research
27
INSERVICE education programs are instruction or training provided by a health care facility or institution
False
True
28
A nurse conducts interviews & focus groups from patients who have had heart attacks. Which type of research is this?
Experimental research
Nonexperimental research
Evaluation research
Qualitative research
29
A nurse able to anticipate nursing care and establish long-range goals
Advanced beginner
Novice
Proficient
Competent
30
The RN completes an assessment of a pt & analyzes the data to identify nursing diagnoses. Which step will RN take next?
Diagnosis
Assessment
Implementation
Planning
31
A nurse has a goal of becoming a certified registered nurse anesthetist (CRNA). Which activity is appropriate?
Obtains a PhD degree in anesthesiology
Coordinates acute medical conditions
Manages gynecological services such as PAP smears
Works under the guidance of an anesthesiologist
32
When a nurse does not allow pt to sign the informed consent after stating "I was unable to ask questions." What role?
Patient advocate
Manager
Clinical nurse specialist
Patient educator
33
During ASSESSMENT the RN collects comprehensive data pertinent to the patient’s health and/or the situation.
True
False
34
Subjective data include the patient’s feelings, perceptions, and reported symptoms
False
True
35
Which action should the nurse take when teaching a 5-year-old patient about a scheduled surgery?
Do not discuss the procedure with the child to decrease anxiety.
Allow the child to touch and hold medical equipment such as thermometers.
Let the child know the surgery will be at 9:00 AM in the morning.
Insist that the parents wait outside the room to ensure privacy of the kid
36
RN is completing an assessment on an older pt who is alert & oriented.The pt’s kid is there.Which action is by chrg RN?
The nurse speaks only to the patient’s daughter.
The nurse leans forward while talking with the patient.
The nurse nods periodically while the patient is speaking.
The nurse makes eye contact with the patient.
37
This describes a competent level of nursing care used
The Standards of Practice
The code of ethics
Quality and safety education for nurses
Standards of professional performance
38
Nurse-midwifery involves providing care for women during normal pregnancy, labor, & delivery, as well as newborn care
True
False
39
An experienced operating room nurse chooses to now practice in home health. This is what proficiency?
Advanced beginner
Competent
Proficient
Novice
40
A nurse has compassion fatigue. What is the nurse experiencing?
Burnout and secondary traumatic stress
Lateral violence and intrapersonal conflict
Short-term grief and single stressor
Physical and mental exhaustion
41
A nurse has collected several research findings for evidence-based practice. Which article will be the best to use?
An article that is an opinion of expert committees
An article that uses qualitative research
An article that uses randomized controlled trials (RCT)
An article that is peer-reviewed
42
A nurse is using the research process. Place in order the sequence that the nurse will follow.
4, 3, 5, 2, 1
3, 4, 5, 2, 1
3, 5, 4, 2, 1
4, 5, 3, 2, 1
43
If individuals have repeated development failures, inadequacies sometimes result
True
False
44
A nurse assessing & encouraging pt to drink more fluids. Which concept is the nurse demonstrating?
Licensure
Accountability
Certification
Autonomy
45
The nurse is interviewing a patient with a hearing deficit. Which area should the nurse use to conduct this interview?
The patient’s room before administration of pain medication
The waiting area with the television turned off
The patient’s room with the door closed
The waiting room while the occupat. therapist is working on leg exercises
46
A nurse is completing an assessment. Which findings will the nurse report as subjective data?
Patient’s wound appearance
Patient pacing the floor while awaiting test results
Patient’s expression of fear regarding upcoming surgery
Patient describing excitement about discharge
47
A chrg nurse is reviewing outcome statements using the SMART appr. Which pt outcome statement will the chrg nurse praise
The nurse will monitor the patient’s heart rhythm continuously this shift.
The pt will feed self at all mealtimes today w/o reports of short breaths
The patient will ambulate in hallways.
48
An RN is using critical thinking skills during 1st phase of nursing. Which action indicates the RN is in 1st phase?
Completes a comprehensive database
Intervenes based on priorities of patient care
Identifies pertinent nursing diagnoses
Determines whether outcomes have been achieved
49
Prescribing strategies & alternatives for an expected outcome is which standard of nursing practice?
Assessment
Implementation
Diagnosis
Planning
50
An RN is gathering info abt a pt's habits & lifestyle patterns. What's the best method of data collection will RN use?
Conduct the physical assessment.
Prolong the termination phase of the interview.
Carefully review lab results.
Perform a thorough nursing health history.
51
RN begins examining surgical dressing saturated with serosanguineous drainage on pt w surgery. Which asses. being used?
Activity-exercise pattern assessment
Problem-oriented assessment
General to specific assessment
Gordon’s Functional Health Patterns
52
A nurse is using a guide that provides principles of right & wrong to provide care to pts. Which guide is used?
Standards of professional performance
Quality and safety education for nurses
Standards of practice
Code of ethics
53
The nurse practice acts regulate the scope of nursing practice and protect public health, safety, and welfare
True
False
54
Individual RCTs are the highest level of evidence or “gold standard” for research
True
False
55
A nurse is conducting a nursing health history. Which component will the nurse address?
Nurse’s concerns
Current treatment orders
Nurse’s goals for the patient
Patient expectations
56
Nurse anesthetists provide surgical anesthesia under the guidance and supervision of an anesthesiologist
True
False
57
A nurse is using the proximodistal pattern to assess an infant’s growth & development. Which assessment is normal?
Lifts head before grasps
Laughs before coos
Bangs objects before turns
Walks before crawls
58
In caring for patients, what must the nurse remember about evidence-based practice (EBP)?
EBP is dependent on patient values and expectations.
EBP is secondary to traditional or convenient care knowledge.
EBP is the only valid source of knowledge that should be used
EBP is not shown to provide better patient outcomes
59
A nurse uses evidence-based practice (EBP) to provide nursing care. What is the best rationale for the nurse’s behavior?
EBP is based on the latest textbook information.
EBP is a guide for nurses in making clinical decisions.
EBP is easily attained at the bedside
EBP is always right for all situations
60
The RN discovers that the pt’s vital signs were not recorded by the NAP. Which decision should the RN make?
Send pt to radiology for an X-Ray, and review vital signs
Ask NAP to record pt vitals before administering meds.
Administer scheduled meds assuming that the NAP reports abnormal vital sign
Omit vital signs bc the pt is in no distress
61
A nurse teaches a group of nursing students about nurse practice acts. Which information is most important to include?
Protects the provider
Protects the public
Protects the hospital
The acts protects the nurse
62
A nurse is preparing a teaching session about contemporary influences on nursing. Which examples should be included?
Affordable Care Act
Medically underserved
Human rights
Demographic changes
63
The RN is attempting to prompt the pt to elaborate on the reports of daytime fatigue. Which Question should the RN ask?
“Is there anything that you are stressed about right now that I should know
“What are your normal work hours?”
“Are you sleeping 8 hours a night?”
“What reasons do you think are contributing to your fatigue?”
64
After assessing a pt a nurse develops a nursing diagnosis. What is the rationale for the nurse’s actions?
To develop clinical judgment based on other’s intuition
To help nurses focus on the scope of medical practice
To form a language that can be encoded only by nurses
To distinguish the nurse’s role from the physician’s role
65
Certified nurse-midwives can provide gynecological services
False
True
66
Benner’s levels of proficiency in order from beginning to end?
2, 4, 5, 1, 3
4, 5, 2, 1, 3
2, 5, 4, 3, 1
4, 2, 5, 3, 1
67
A nurse is reviewing research studies for evidence-based practice. Which article should be used for qualitative research
An article about the number of falls after use of no side rails
An article about emotional needs of dying patients and their families
An article about infection rates after use of a new wound dressing
An article about the percentage of new admissions on a new floor
68
When a nurse perceives a pt’s clinical situation & can transfer knowledge gained from previous experience.
Novice
Competent
Proficient
Advanced beginner
69
An experienced med-surg nurse chooses to work in ob. Which level of proficiency is the nurse upon initial transition?
Novice
Competent
Proficient
Advanced beginner
70
Upon completing admission database, the RN is Q a pt who states “I am allergic to latex.” Which action is FIRST?
Document the latex allergy on the medication administration record.
Ask the patient to describe the type of reaction.
Proceed to the termination phase of the interview.
Immediately place the patient in isolation.
71
Accountability means that a nurse can practice responsible, professionally and legal quality care.
False
True
72
Which information indicates a nurse has a good understanding of a goal?
It's a statement describing the pt’s accomplishments w/o a time restriction
It is a realistic statement predicting any negative responses to treatments
It is a broad statement describing a desired change in a patient’s behavior
It is a measurable change in a patient’s physical state.
73
A nurse is implementing an evidence-based practice project re: infection rate which other evidence should be reviewed?
Inductive reasoning data
Biased data
Quality improvement data
Informed consent data
74
Qualitative research is valuable in identifying info about how pts cope with health problems
False
True
75
When an individual experiences success, health is promoted
True
False
76
A nurse is using the problem-oriented approach to data collection. Which action will the nurse take first?
Conduct an observational overview
Focus on he patients presenting situation
Complete the questions in chronological order
Make accurate interpretations of the data
77
The nurse is reviewing a research article on a pt care topic. Which area should entice the nurse to read the article?
Results
Introduction
Literature review
Methods
78
Which question is most appropriate to ask when assessing an adult patient for growth and developmental delays?
“How many hrs do you watch tv or sit in front of a computer?
“Are you able to stand on one foot for 5 seconds?”
“How many times per week do you exercise?”
“Would you please describe your usual activities during the day?”
79
Which action by a nurse indicates application of the critical thinking model to make the best clinical decisions?
Relying on recall of information from past lectures and textbooks
Depending on the charge nurse to determine priorities of care
Drawing on past clinical experiences to formulate standardized care plans
Using the nursing process
80
In which order will the nurse use the nursing process steps during the clinical decision-making process?
2, 4, 3, 5, 1
1, 2, 4, 5, 3
4, 3, 2, 1, 5
5, 1, 2, 3, 4
81
The nurse practice acts do not protect the nurse, provider, or hospital.
True
False
82
Pt expresses fear of being home alone.Vitals are stable; the incision is healed. What can RN infer from subjective data?
The patient can now perform the dressing changes without help.
The patient is apprehensive about discharge.
The patient’s surgery was not successful.
The patient can begin retaking all of the previous medications.
83
Middle-aged adults achieve success (generativity) in this stage by contributing to future generations
True
False
84
A nurse identifies gaps between local and best practices. QSEN competency is this?
Patient-centered care
Quality improvement
Teamwork and collaboration
Safety
85
In PLANNING a nurse develops a goal that prescribes strategies and alternatives to attain expected outcomes.
True
False
86
Evidence-based practice can be applied without using good judgment and critical thinking skills.
False
True
87
A nurse has already set the agenda during a patient-centered interview. What will the nurse do next?
Ask about the chief concerns or problems.
Explain that the interview will be over in a few minutes.
Tell the patient “I will be back to administer medications in 1 hour.”
Begin with introductions.
88
When a pt's leg is assessed; the pt tells RN they cant sleep. Instead of disregarding this what action RN need to take?
Tell the patient to just focus on the leg and cast right now.
Explain that a more thorough assessment will be needed next shift.
Ask the pt about usual sleep patterns and the onset of having difficulty
Document the sleep patterns and information in the patient’s chart.
89
A nurse is using a critical thinking model to provide care. Which component is first in making a clinical decisions?
Specific knowledge base
Nursing process
Experience
Attitude
90
A nurse that understands the organization and specific care required by their patients
Competent
Proficient
Novice
Advanced beginner
91
Nurses must consider the influence of culture and context on growth and development.
True
False
92
When asking a pt of Asian descent Q's, the RN notices the pt looks at the ground when answering Q's. What should RN do?
Continue with the interview and document that the patient is depressed.
Consider cultural differences during this assessment.
Ask the patient to make eye contact to determine her affect.
Notify the health care provider to recommend a psychological evaluation.
93
A nurse attends a workshop on current nursing issues provided by the ANA. Which type of education is this?
Inservice education
Graduate education
Registered nurse education
Continuing education
94
A nurse entering a situation in which there is no previous level of experience
Novice
Proficient
Competent
Advanced beginner
95
A nurse is measuring an infant’s head circumference and height. Which area is the nurse assessing?
Cognitive development
Moral development
Biophysical development
Psychosocial development

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